Linda Murakami RN BSN MSHA

Experience

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  Northwestern Memorial Hospital

  Dec 1998 - Sept 2005

  Director of Quality Improvement, Home Health

  - Developed and monitored indicators for Quality Improvement Plan for home health, home infusion, and home hospice - Developed and presented all training and education presentations for maintaining compliance with Federal and State regulations (CMS HIM-11, OASIS, Corporate Compliance program, OSHA, HIPAA, Illinois Department of Public Health)- Led home health, home infusion, and home hospice to successful Joint Commission accreditation in 2004- Improved Patient Satisfaction from 10th percentile to 71st percentile (based on Press Ganey National score comparison)- Developed and revised clinical and administrative policies and procedures. Implemented a fully updated and revised administrative policy and procedure manual for organization in 2004- Developed training material, including 47 written processes for new software system (Cerner/BeyondNow Technologies). Provided training to 40 office employees, consisting of Patient Care Managers, Admission RN’s, Hospital Liaisons, Admission Coordinators, Clinical Coordinators, Medical Records, and Schedulers- Compiled and analyzed statistical data and submit reports, dashboards, and presentations on quality improvement indicators and outcomes for Senior Leadership, Quality Improvement Council, Professional Advisory Committee and Governing Board quarterly- Chair, Quality Improvement Council Show less

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  Tender Loving Care Home Health

  Sept 2005 - Aug 2006

  Director of Quality Improvement

  - Compiled and analyzed data relating to quality initiatives- Oversight of all staff development activities, including; planning education programs, clinical competency program, implemented and monitored national training initiatives, and maintained all records related to staff development activities- Directed activities for new employee orientation, including development of content for these education endeavors (clinical and office staff)- Maintained established policies and procedures for all performance/quality improvement and staff development standards- Developed and led Process Improvement activities to improve compliance with standard processes; Improved OASIS lock rate compliance from 9% to 82%- Ensured compliance with all federal, state, local and Joint Commission regulations and standards- Led organization to successful initial Joint Commission accreditation in 2006- Chair, Quality Improvement Council Show less

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  Elmhurst Memorial Healthcare

  Aug 2006 - Sept 2010

  Senior Manager of Clinical Operations, Home Health Care

  - Managed day to day operations for home health agency- Directed quality improvement, infection control, safety, and corporate compliance activities for home health, hospice, and home medical equipment programs- Led performance improvement teams for quality outcomes - Reduction in emergent care from 17% to 3% - Surgical wound healing improved from 74.9% to 85.9% - Reduction in patient fall rate from 1.05 to 0.25 (per 1000 patient days)- Oversight of Federal and State regulatory requirements for home health and hospice programs- Reviewed and complete calendar items for OIG- Corporate Compliance and HIPAA Privacy Officer for home health, hospice, and home medical equipment programs- Managed all Joint Commission activities including compliance with standards, lead survey oversight, oversee PPR and complete online input for PPR- Financial management of home health program, with operational performance at 28% of net revenue- Average Medicare RAP’s completed in 6 days; Average Case Mix Weight 1.33- Compiled information, analyze data, develop dashboards and present information to Executive Leadership, Governing Board, Professional Advisory Board, and Continuous Quality Improvement Committee- Developed and implement new programs to improve revenue, productivity, and outcomes (Admission team, Wound Care Program, Wellness Nurse Program, Telemonitoring)- Led organization to successful Joint Commission accreditation in 2008 for home health, hospice, and home medical equipment programs- Successful IDPH survey in 2008 for home health, eliminating 11 GTag deficiencies from prior survey- Chair, Professional Advisory Board; Continuous Quality Improvement Committee- Member, Joint Commission and Regulatory Compliance, Corporate Compliance, Infection Control, and QA & I to the Board Committees Show less

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  Cook County Health and Hospitals System

  Sept 2010 - Mar 2014

  Director of Quality Improvement (QI), Cermak Health Services

  - Direct all QI activities- Established quality reporting format for leadership team utilizing DMAIC methodology- Re-designed QI meetings providing structure, agendas, and improved participation/attendance- Directed project to complete P&P Manual, developing new policies and updating established policies and procedures - Leader for performance improvement and implementation teams for quality outcomes using LEAN concepts when applicable: *Increase % of detainees receiving medications at intake *Decrease Pyxis discrepancy rate- Implementation of electronic learning system; pilot site for health system- Co-Lead implementation of electronic adverse event system; pilot site for health system- Oversight of Federal regulatory requirements for CLIA waiver license- Facilitated successful Opiate Treatment Program accreditation survey by National Commission of Correctional Health Care in 2011 with ongoing oversight of accreditation activities and compliance- Opiate Treatment Program Sponsor/Program Director as registered with SAMHSA and State of Illinois Department of Alcohol and Substance Abuse (DASA), 2012 to present *Successful 2013 DASA survey, meeting requirements with substantial compliance- Collaborate with department leaders to improve 23 areas and achieve substantial compliance in accordance with the Federal Agreed Order; The United States of America vs. Cook County, et. al.- Develop written response for facility and present to Department of Justice (DOJ) Medical Monitors prior to biannual compliance surveys- Report directly to lead DOJ Medical Monitor regarding quality improvement activities, policies and procedures, and detainee grievances- Develop dashboards and present information to Cook County Health System Patient Safety and Quality Board and Cook County STAR Performance plan directed by Cook County President- Chair, Continuous QI Committee- Member, Medication Management, Process Change Management, and Nursing Process Committees Show less

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  American Medical Association

  Mar 2014 - now

  -Coordinate activities with members of other IHO teams and with other AMA functional areas that interact with ambulatory care practices. -Share with and learn from practice facilitators at external organizations with whom IHO collaborates.-Introduce innovative concepts and techniques into the IHO practice facilitation program-Support the design and implementation of quality improvement interventions in clinical practice sites participating in IHO initiatives. -Serve as faculty for delivering relevant content, coach clinical care teams in implementing quality improvement interventions and facilitate the exchange of improvement ideas across clinical practice sites. -Contribute to the development and implementation of IHO’s program dissemination strategies.-Develop and manage practice facilitation program supporting IHO areas of focus, including (a) train quality improvement specialists and practice facilitators in salient quality improvement techniques and implementation of interventions for improving chronic disease prevention and management in ambulatory care settings, (b) manage a team of practice facilitators, including oversight of interactions with clinical practice sites and proficiency with relevant quality improvement program content, and (c) evaluate the effectiveness of practice facilitation techniques and introduce new approaches to maximize effectiveness Show less -Provide quality improvement guidance to selected physician practices to improve blood pressure control rates -Facilitate learning using multiple modalities to exchange best practices and challenges among groups of practice sites-Led development of self-measured blood pressure guide for physicians, providers and patients-Compiled program manual for improving blood pressure control rates-Conduct formal, professional presentations, training and workshops on quality improvement methods to support the implementation of department targeted interventions and measures for blood pressure control-Provide guidance and direction representing the interests of clinical practice sites in measurement and evaluation activities-Coach individual clinical practice sites and provide customized coaching to clinical practice sites by identifying site-specific needs and opportunities, prioritizing areas of focus, and identifying available and needed resources-Revision of practice workflows-Review of clinical documentation, identifying trends and presenting areas for improvement to practice providers-Advise individual clinical practice sites on the implementation of improvement interventions and measures, sharing specific best practice examples-Work with clinical practice leadership to identify existing data sources to minimize the burden of data collection and identify opportunities to efficiently retrieve data to support QI activities-Interact with community partners, such as state and local medical society representatives and others, to develop broad, sustainable strategies for improved health outcomes Coordinate in-person learning events for Healthy Hearts in the Heartland (H3), the Midwest region’s practice facilitation community participating in the AHRQ-funded grant for improving cardiovascular health  Act as lead practice facilitator for H3, performing visit joint visits to ensure consistency of facilitation and appropriate teaching and practice interventions Show less

  • Senior Program Manager, Quality Improvement

    Apr 2016 - now

  • Improvement Advisor

    Mar 2014 - Apr 2016